© 2005 by BMJ Publishing Group Ltd & British Society of Gastroenterology
EDITOR'S QUIZ: GI SNAPSHOT
EDITOR’S QUIZ: GI SNAPSHOT
| The first 150 words of the full text of this article appear below. |
From question on page 418
Radiographic enteroclysis showed multiple large duodenal and jejunoileal diverticula (fig 1). The proximal small intestine was found to have normal resorptive capacities suggested by a normal D-xylose test while intestinal bacterial overgrowth was indicated by a H2 breath test with glucose. Extended diverticulosis of the small bowel with subsequent bacterial overgrowth was assumed to be the most likely cause of the patient’s malabsorption and weight loss. Bacterial overgrowth of the small intestine was treated with a rotating antibiotic regimen of ciprofloxacin for 10 days, metronidazole for a further 10 days, followed by tetracycline for 10 days. Simultaneously, a high calorie diet and vitamin B12 supplementation was started. This therapy was well tolerated and the patient gained 10 kg in weight within six weeks. A follow up H2 breath test two weeks after completing the rotating antibiotic regimen was also normal, thus indicating that bacterial
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Gut 2005 54: 418.[Extract] [Full Text] [PDF]
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